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BACKGROUND As adolescents grow, protective parental influences become less important and peer influences take precedence in adolescent's initiation of smoking. It is unknown how and when this occurs. We sought to: prospectively estimate incidence rates of smoking initiation from late childhood through mid-adolescence, identify important risk and protective(More)
OBJECTIVES Physicians often assume that a patient understands frequently utilized medical words and patient management may be based on these assumptions. The objective of this study was to determine the public's definition of regularly used medical terminology. METHODS A cross-sectional convenience survey was conducted for guardians of children presenting(More)
There are no widely accepted predictors of pneumonia in wheezing infants and toddlers who present to the emergency department (ED). A 10-month retrospective review of ED visits of wheezing children < or = 18 months of age revealed the following chest radiograph (CXR) results: normal (21%), findings consistent with uncomplicated bronchiolitis or asthma(More)
The prevalence of adult tobacco users who utilize the emergency department as patients or parents is disproportionately higher than the national average rates of tobacco use. Thus, it is advised that the emergency department be utilized as a venue for providing tobacco cessation counseling to adult tobacco users. Using a randomized control trial design,(More)
BACKGROUND AND OBJECTIVES: Despite the current literature on the importance of parental anti-smoking socialization messages, it is unclear if youth and parents agree on the content and frequency of such messages. This study's purpose was to explore the level of agreement between parents and youth on measures of anti-smoking socialization and to assess(More)
INTRODUCTION Although differing levels of family influences may explain some of the varying racial/ethnic trends in adolescent smoking behavior, clarification of which influences are protective against smoking may aid in the development of future ethnic-specific smoking prevention interventions. We sought to identify and compare the association of family(More)
INTRODUCTION Although it is known that levels of family factors (FF) such as parental monitoring and parent-adolescent connectedness vary during adolescence, it is unknown which factors remain protective, preventing smoking initiation, in youth of differing racial/ethnic groups. Using a longitudinal, nationally representative sample, we examined which FF(More)
BACKGROUND Nurses can be effective in providing advice and counseling to tobacco-using parents of hospitalized pediatric patients. However, lack of training in effective interventions is a barrier to the incorporation of tobacco cessation interventions into routine practice. This article describes the development and evaluation of a web-based tobacco(More)
INTRODUCTION Due to the adverse health effects of environmental tobacco smoke exposure in children, pediatric registered nurses (RNs) have frequent encounters with parents who smoke. RNs have a unique opportunity to provide tobacco cessation counseling to parental smokers during their child's ED or hospital visit. The purpose of this study was to assess(More)
Emergency physicians need to clinically differentiate children with and without radiographic evidence of pneumonia. In this prospective cohort study of 510 patients 2 to 59 months of age presenting with symptoms of lower respiratory tract infection, 100% were evaluated with chest radiography and 44 (8.6%) had pneumonia on chest radiography. With use of(More)